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Medical Billing Services · United States

Medical billing services, owned by a senior partner, not a queue.

ASP-RCM is a medical billing company for US providers who want a partner, not a vendor. We run eligibility, coding, claims, denials, A/R, credentialing and reporting as one operation, with written SLAs in 90 days and a CFO scorecard every month.

What you get
Senior-led.
SLA-backed.
One named partner per account.
Written SLAs in 90 days. A CFO scorecard every month.
What we do, end to end

Seven functions. One accountable owner.

Most medical billing companies split the work across separate teams that rarely talk to each other. We run the whole cycle under one senior partner, so the person who answers for your A/R also controls the coding, the claims and the denials that drive it.

01

Eligibility & prior authorization

Real-time eligibility and benefits checks, coordination of benefits and authorization flags before the visit. Coverage problems caught at registration are far cheaper than the same problem found after a denial.

270/271 checksCOB captureAuth tracking
  • Where it pays: fewer eligibility and authorization denials downstream.
02

Medical coding

CPC and CCS certified coders organized by specialty, not by client. A certified coder reads every chart that matters, and documentation gaps go back to the provider with specifics.

CPT · ICD-10 · HCPCSModifier auditProvider feedback
  • Specialty benches: coders who have lived in your specialty.
  • Quality: sample audits with a remediation plan when accuracy slips.
03

Charge capture & claim submission

Daily reconciliation of the schedule to billed charges, payer-specific edits applied before submission, and secondary and tertiary claims worked, not forgotten. Clean-claim rate is a contracted target.

Schedule reconciliationPre-submit scrubber837 / EDI
  • Clean claims: tracked daily, reported monthly.
  • Missed charges: found against the schedule, not last month’s collections.
04

Denial management & appeals

Every denial is sorted by root cause: eligibility, authorization, coding, registration or clinical. High-dollar appeals are senior-reviewed before they go out, and the top causes feed upstream fixes so the same denial stops coming back.

Root-cause taxonomyWritten appealsPrevention loop
  • The goal: fewer denials, not just faster appeals.
05

A/R follow-up & payment posting

Dollar-weighted A/R follow-up, so the biggest balances get worked first every cycle. ERA and EOB posting with reconciliation to the bank, and underpayments flagged against your payer contracts.

Dollar-weighted aging835 postingUnderpayment review
  • Audit trail: nothing is written off without your sign-off.
06

Credentialing & payer enrollment

CAQH ProView upkeep, Medicare through PECOS, state Medicaid and commercial panels, plus a re-credentialing calendar so providers stay in network. It can run inside the same engagement.

CAQHPECOSRe-credentialing
07

Reporting & the monthly CFO scorecard

A short narrative scorecard every month covering clean-claim rate, denial rate, days in A/R, net collection rate and cost to collect. Your senior partner walks it with you line by line.

Monthly scorecardQuarterly reviewPayer trends
  • Source data: pulled from your PM system, not retyped.
Who we serve

Built around your billing rules, not ours.

ABA bills nothing like a hospital, and mental health bills nothing like a therapy clinic. Each pod is staffed by people who have worked in your specialty. Start with the page that fits your organization.

SPECIALTY 01
ABA billing services →

Authorizations, supervision rules, RBT and BCBA credentialing and the 97-series codes.

SPECIALTY 02
Behavioral & mental health billing →

Timed-code documentation, telehealth rules by state, parity appeals and SUD carve-outs.

SPECIALTY 03
Physical therapy billing →

8-minute rule units, GP, KX and CQ modifiers, and Medicare, commercial, workers comp and auto payers.

SPECIALTY 04
Occupational therapy billing →

GO and CO modifiers, units from timed minutes and KX threshold tracking before each claim leaves.

SETTING 05
FQHC billing services →

PPS, wraparound, sliding-fee scales, UDS and 340B handled as one community-health stack.

SETTING 06
Hospital revenue cycle →

UB-04, DRG validation, observation and ED, with pods staffed by setting.

SERVICE 07
Revenue cycle management →

The full end-to-end RCM scope with the written SLAs that go into every contract.

SERVICE 08
Medical credentialing services →

Payer enrollment and re-credentialing for every specialty, run as one managed file.

ALL SPECIALTIES
See the full specialty index →

Not listed? Ask us. We will tell you honestly whether we are the right fit.

How we differ

Three commitments most medical billing companies will not put in writing.

In many billing relationships the people you met during sales disappear after the first month, and you end up talking to a queue. We are structured so that cannot happen.

THE STRUCTURAL CHOICE

A senior partner on every account.

The senior partner who scopes your engagement is the same person who signs the contract, owns the SLA and attends your business reviews. You get one phone number and one escalation path, not a ticket system.

WHAT THAT MEANS IN PRACTICE

Accountability you can measure.

  • Senior partner on every account. Named, accountable, and reachable directly.
  • Written SLAs in 90 days. Days in A/R, clean-claim rate, denial rate, cost to collect and cash posted, written as targets you sign.
  • Monthly CFO scorecard. What moved, why, and what changes next month, reviewed with your finance lead.
  • Dedicated pods that do not rotate. Your team learns your payers and keeps that knowledge.
How engagement works

A free call first. A written audit in two weeks.

You see our thinking on your own numbers before you sign anything. The audit is yours to keep whether or not you hire us.

STEP 01
Free 30-minute call

A senior partner hears what is going wrong: A/R, denials, staffing or visibility.

STEP 02
One read-only data pull

Denials, A/R aging and payer mix. No system change and no disruption to your team.

WITHIN 2 WEEKS
Written audit

A recovery estimate in dollars, the top five denial root causes and a 90-day fix plan.

1 BUSINESS DAY
Written quote

Pricing modeled across all three structures for your specialty and volume.

DAY 90
SLAs in force

Onboarding runs 30 to 60 days. Written SLAs and the monthly scorecard are live by day 90.

How pricing works

Three pricing models. Quoted in writing.

We do not post rates online, because a fair price depends on your specialty, monthly volume, payer mix and EHR. We model all three structures for your operation before you sign. See medical billing pricing for what each model includes.

MODEL 01
Percentage of collections

Our fee is a percentage of net collections, so we earn when you collect. A common fit for independent providers, ABA, behavioral health and FQHCs.

MODEL 02
Dedicated FTE

A fixed cost per assigned operator for high-volume, predictable operations. A dedicated team that works as an extension of yours.

MODEL 03
Hybrid

A fixed monthly base for budget certainty, plus a performance tier when collections exceed your target.

FAQ

Questions buyers ask before they choose a medical billing company.

Do not see yours? Email [email protected] and a senior partner will reply directly.

What do your medical billing services include?
Eligibility and benefits verification, prior authorization, charge capture, coding (CPT, ICD-10 and HCPCS), claim scrubbing and submission, payment posting, denial management and appeals, A/R follow-up, patient billing and statements, and a monthly CFO scorecard. Credentialing and payer enrollment can run inside the same engagement and are priced separately.
How is ASP-RCM priced compared with other medical billing companies?
We offer three structures: a percentage of net collections, a dedicated FTE model with a fixed cost per assigned operator, or a hybrid with a fixed monthly base plus a performance tier above target. We do not post rates online because a fair number depends on your specialty, volume, payer mix and EHR. You get a written quote across all three structures within one business day.
Do we have to change our EHR or practice management system?
No. We work inside your existing EHR, practice management system and clearinghouse. That includes Epic, Cerner (Oracle Health), Athenahealth, eClinicalWorks, NextGen, AdvancedMD, Kareo, CentralReach, TherapyNotes and SimplePractice, among others.
How long does it take to get started?
It starts with a free 30-minute call. From one read-only data pull, a senior partner delivers a written audit within two weeks. Standard onboarding then takes 30 to 60 days depending on integration and payer mix, and written SLAs are in force by day 90.
Who will actually work on our account?
A named senior partner owns your account and your numbers. Day to day, a dedicated pod matched to your specialty does the work: a senior lead, certified coders (CPC or CCS), an A/R specialist and a denial analyst. Pods do not rotate between clients.
How do you protect patient data?
ASP-RCM operates under HIPAA and HITECH, signs a business associate agreement with every client, and holds SOC 2 Type 2 and ISO 27001 certifications. PHI is encrypted at rest and in transit. Audit reports are available for review under NDA.

Start with a free 30-minute call.

A senior partner reviews your denials, A/R aging and payer mix, then delivers a written audit within two weeks.